INVITATION TO BID. ITB-214/17 Rehabilitation and Reconstruction of Fallujah Bridge Anbar Governorate, Iraq

Transcription

1 INVITATION TO BID ITB-214/17 Rehabilitation and Reconstruction of Fallujah Bridge Anbar Governorate, Iraq Volume III Submission Forms & Contract Documentation Section 4 - Section 5 - Section 6 - Section 7 - Section 8 - Part 1: Submission Forms Bid Submission Form Documents Establishing the Eligibility and Qualifications of the Bidder Technical Bid Form Price Schedule [Refer Volume IV] Form for Bid Security (To be Returned as the Bid, in a as the Technical Bid) Part 2: Contract Documentation (Refer Volume III, Part 2) June 2017 Volume III, Submission Forms & Contract Documentation 1/23

2 TABLE OF CONTENT 1 PART 1: SUBMISSION FORMS SECTION 4: BID SUBMISSION FORM SECTION 5: DOCUMENTS ESTABLISHING ELIGIBILTY OF THE BIDDER Bidder Information Form Partners or Joint Ventures of the Company Information (if Registered) Declaration of Litigation and Arbitration History Form Declaration of NO Conflict of Interest Form Declaration by the Applicant Form TECHNICAL SUBMISSION FORMS SECTION 6: TECHNICAL BID FORM SCHEDULE OF NON-COMPLIANCE BACKGROUND EXPERIENCE ONGOING PROJECTS PROFILES MANPOWER SCHEDULE... Error! Bookmark not defined PLANT AND EQUIPMENT SCHEDULE... Error! Bookmark not defined PROJECT ACTIVIRY (WORK) SCHEDULE CURRICULUM VITAE (CV) SECTION 8: FORM FOR BID SECURITY CHECKLIST FOR BIDDERS Volume III, Submission Forms & Contract Documentation 2/23

3 1 PART 1: SUBMISSION FORMS 1.1 SECTION 4: BID SUBMISSION FORM This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this template To: UNDP, Iraq Insert: Location Insert: Date Dear Sir/Madam: We, the undersigned, hereby offer to supply the goods and related services required for ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq in accordance with your Invitation to Bid dated Insert: bid date. We are hereby submitting our Bid, which includes the Technical Bid and Price Schedule. We hereby declare that : a) All the information and statements made in this Bid are true and we accept that any misrepresentation contained in it may lead to our disqualification; b) We are currently not on the removed or suspended vendor list of the UN or other such lists of other UN agencies, nor are we associated with, any company or individual appearing on the 1267/1989 list of the UN Security Council; c) We have no outstanding bankruptcy or pending litigation or any legal action that could impair our operation as a going concern; and d) We do not employ, nor anticipate employing, any person who is or was recently employed by the UN or UNDP. e) We hereby certify that there is not any actual or potential conflict of interest or unfair advantage at this time, in us providing the Offer Submission or performing the required services. We confirm that we have read, understood and hereby fully accept the Schedule of Requirements and Technical Specifications describing the duties and responsibilities required of us in this ITB, and the General Terms and Conditions of UNDP s Standard Contract for this ITB. We agree to abide by this Bid for [insert: period of validity as indicated in Data Sheet]. We undertake, if our Bid is accepted, to initiate the supply of goods and provision of related services not later than the date indicated in the Data Sheet. We fully understand and recognize that UNDP is not bound to accept this Bid, that we shall bear all costs associated with its preparation and submission, and that UNDP will in no case be responsible or liable for those costs, regardless of the conduct or outcome of the evaluation. We remain, Volume III, Part 1: Submission Forms 3/23

4 Yours sincerely, Authorized Signature [In full and initials]: Name and Title of Signatory: Name of Firm: Contact Details: [please mark this letter with your corporate seal, if available No deletion or modification may be made in this form. Any such deletion or modification may lead to rejection of the Bid End of Section Volume III, Part 1: Submission Forms 4/23

5 1.2 SECTION 5: DOCUMENTS ESTABLISHING ELIGIBILTY OF THE BIDDER Bidder Information Form This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this template Date: [Insert date (as day, month and year)] ITB No. ITB-214/17 Page of pages 1. Bidder s Legal Name [insert Bidder s legal name] 2. In case of Joint Venture (JV), legal name of each party: [insert legal name of each party in JV] 3. Actual or intended Country/ies of Registration/Operation: [insert actual or intended Country of Registration] 4. Year of Registration: [insert Bidder s year of registration] 5. Countries of Operation 6. No. of staff in each Country 7.Years of Operation in each Country 8. Legal Address/es in Country/ies of Registration/Operation: [insert Bidder s legal address in country of registration] 9. Value and Description of Top three (3) Biggest Contract for the past three (3) years 10. Latest Credit Rating (if any) 11. Brief description of litigation history (disputes, arbitration, claims, etc.), indicating current status and outcomes, if already resolved. 12. Bidder s Authorized Representative Information Name: [insert Authorized Representative s name] Address: [insert Authorized Representative s address] Telephone - Land Line No.:[insert Authorized Representative s contact details] Telephone Mobile No.: [insert Authorized Representative s contact details] Address: [insert Authorized Representative s address] 13. Are you in the UNPD List or UN Ineligibility List? YES or NO Volume III, Part 1: Submission Forms 5/23

6 14. Attached are copies of original documents of: All eligibility document requirements listed in the Data Sheet If Joint Venture/Consortium copy of the Memorandum of Understanding/Agreement or Letter of Intent to form a JV/Consortium, or Registration of JV/Consortium, if registered If case of Government corporation or Government-owned/controlled entity, documents establishing legal and financial autonomy and compliance with commercial law. 15.Bank Details: Main bank Account name: Bank name Bank account number: Bank code: SWIFT Code: Bank IBAN No. Bank address: Name(s) of signatory(ies): Position(s) of signatory(ies): Corresponding bank (where applicable) Account name: Bank name Bank account number: Bank code: SWIFT Code: Bank IBAN No. Bank address: Routing information: Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. Volume III, Part 1: Submission Forms 6/23

7 1.2.2 Partners or Joint Ventures of the Company Information (if Registered) If you are partnered with more than one entity please use this form once for each partner This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this template Date: [insert date (as day, month and year] of Proposal Submission] ITB No.: ITB-214/17 1. Bidder s Legal Name: [insert Bidder s legal name] Page of pages 2. JV s Party legal name: [insert JV s Party legal name] 3. JV s Party Country of Registration: [insert JV s Party country of registration] 4. Year of Registration: [insert Party s year of registration] 5. Countries of Operation 6. No. of staff in each Country 7.Years of Operation in each Country 8. Legal Address/es in Country/ies of Registration/Operation: [insert Party s legal address in country of registration] 9. Value and Description of Top three (3) Biggest Contract for the past five (5) years 10. Latest Credit Rating (if any) 11. Brief description of litigation history (disputes, arbitration, claims, etc.), indicating current status and outcomes, if already resolved. 12. JV s Party Authorized Representative Information Name: [insert Authorized Representative s name] Address: [insert Authorized Representative s address] Telephone - Land Line No.:[insert Authorized Representative s contact details] Telephone Mobile No.: [insert Authorized Representative s contact details] Address: [insert Authorized Representative s address] 13. Attached are copies of original documents of: [check the box(es) of the attached original documents] All eligibility document requirements listed in the Data Sheet Articles of Incorporation or Registration of firm named in 2. In case of government owned entity, documents establishing legal and financial autonomy and compliance with commercial law. Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp Volume III, Part 1: Submission Forms 7/23

8 # Name of the Partner in the JV Percentage Share* # Lead Partner Partner Partner Name Date Signature Stamp * Lead partner s share must not be less than 50%. If any potential Overseas/Iraqi Construction company intends to make a joint venture with each other, the lead Firm must have all contractual obligations and bindings to implement the Contract with UNDP The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. Volume III, Part 1: Submission Forms 8/23

9 1.2.3 Declaration of Litigation and Arbitration History Form TO BE PRINTED ON OUT ON COMPANY LETTER HEAD Location:. Date:. To: UNDP, Iraq Dear Sirs: Subject: ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Declaration of Litigation and Arbitration History I/We hereby certify that [insert name of company (ies)] have never been involved in any Litigation or Arbitration and not aware of any litigation or Arbitration to be instituted at this stage. Name: Signature: Position: Date: Company Stamp The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. Note: If above is incorrect please provide full details of Litigation or Arbitration Volume III, Part 1: Submission Forms 9/23

10 1.2.4 Declaration of NO Conflict of Interest Form TO BE PRINTED ON OUT ON COMPANY LETTER HEAD Location:. Date:. To: UNDP, Iraq Dear Sirs: Subject: ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Declaration for NO Conflict of Interest I/We hereby certify that there is not any actual or potential conflict of interest or unfair advantage at this time, in us providing the Offer Submission or performing the Services required. In providing the Offer, our company has no knowledge of or the ability to avail ourselves of confidential information (other than confidential information which may have been disclosed by UNDP Iraq to the Proponents in the normal course of inviting for the Invitation to Bid (ITB) where the confidential information would be relevant to the Services required or the ITB evaluation process. Name: Signature: Position: Date: Company Stamp The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. End of Section Volume III, Part 1: Submission Forms 10/23

11 1.2.5 Declaration by the Applicant Form TO BE PRINTED ON OUT ON COMPANY LETTER HEAD Location: Date:. To: UNDP, Iraq Dear Sirs: Subject: ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Declaration by the Applicant I, the undersigned, being the person responsible in the applicant organization for this ITB, certify that the information given in this Invitation to Bid is correct. Name: Signature: Position: Date: Company Stamp The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. Volume III, Part 1: Submission Forms 11/23

12 1.3 TECHNICAL SUBMISSION FORMS The Technical Proposal MUST be submitted in a Separate Electronic File from the Price Schedule (Volume IV) and must not contain any pricing information. Please see Conditions and Procedures for electronic submission. Technical Proposals not submitted in this format may be rejected SECTION 6: TECHNICAL BID FORM This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this format or layout ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Name of Bidding Organization / Firm: Country of Registration: Name of Contact Person for this Bid: Address: Land Line No. / Mobile No. SECTION 1: EXPERTISE OF FIRM/ ORGANISATION This section should fully explain the Bidder s resources in terms of personnel and facilities necessary for the performance of this requirement (Also refer Manpower, Plant and Equipment Schedule) 1.1 Brief Description of Bidder as an Entity: Provide a brief description of the organization / firm submitting the Bid, its legal mandates/authorized business activities, the year and country of incorporation, and approximate annual budget, etc. Include reference to reputation, or any history of litigation and arbitration in which the organisation / firm has been involved that could adversely affect or impact the delivery of goods and/or performance of related services, indicating the status/result of such litigation/arbitration Financial Capacity: Based on the latest Audited Financial Statement (Income Statement and Balance Sheet) describe the financial capacity (liquidity, stand-by credit lines, etc.) of the bidder to engage into the contract. Include any indication of credit rating, industry rating, etc Track Record and Experiences: Provide the following information regarding corporate experience within at least the last three (3) years which are related or relevant to those required for this Contract. Name of project Client Contract Value Period of activity Types of activities undertaken Status or Date Completed References Contact Details (Name, Phone, ) Volume III, Part 1: Submission Forms 12/23

13 SECTION 2 - SCOPE OF SUPPLY, TECHNICAL SPECIFICATIONS, AND RELATED SERVICES This section should demonstrate the Bidder s responsiveness to the specification by identifying the specific components proposed, addressing the requirements, as specified, point by point; providing a detailed description of the essential performance characteristics proposed; and demonstrating how the proposed bid meets or exceeds the specifications Technical Quality Assurance Mechanisms: The bid shall also include details of the Bidder s internal technical and quality assurance review mechanisms, all the appropriate quality certificates, export licenses and other documents attesting to the superiority of the quality of the goods and technologies to be supplied Reporting and Monitoring: Please provide a brief description of the mechanisms proposed for this project for reporting to the UNDP and partners, including a reporting schedule Subcontracting: Explain whether any work would be subcontracted, to whom, how much percentage of the work, the rationale for such, and the roles of the proposed sub-contractors. Special attention should be given to providing a clear picture of the role of each entity and how everyone will function as a team Risks / Mitigation Measures: Please describe the potential risks for the implementation of this project that may impact achievement and timely completion of expected results as well as their quality. Describe measures that will be put in place to mitigate these risks. 2.6 Implementation Timelines: The Bidder shall submit a Gantt Chart or Project Schedule indicating the detailed sequence of activities that will be undertaken and their corresponding timing (refer below) Partnerships (Optional): Explain any partnerships with local, international or other organizations that are planned for the implementation of the project. Special attention should be given to providing a clear picture of the role of each entity and how everyone will function as a team. Letters of commitment from partners and an indication of whether some or all have successfully worked together on other previous projects is encouraged Anti-Corruption Strategy (Optional): Define the anti-corruption strategy that will be applied in this project to prevent the misuse of funds. Describe the financial controls that will be put in place. 2.9 Statement of Full Disclosure: This is intended to disclose any potential conflict in accordance with the definition of conflict under Section 4 of this document, if any Other: Any other comments or information regarding the bid and its implementation. Volume III, Part 1: Submission Forms 13/23

14 1.3.2 SCHEDULE OF NON-COMPLIANCE In this schedule the Bidder shall provide a list of deviations to the Scope of Works and/or Technical Specifications. Each deviation shall be referred to the relevant specification clause. This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this format or layout ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Clause No. Non Compliance Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp The Bidder shall fill in this Form in accordance with the instructions. Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. Volume III, Part 1: Submission Forms 14/23

15 1.3.3 BACKGROUND EXPERIENCE Provide project-relevant specific international, regional, local experience of the company and/or its staffs in similar assignments during the past three (3) years (minimum 3 up to maximum of 10) completed in DACON Format and to be submitted in the following format. For each project please attach supporting documents such as copy of contract, certificate of final completion etc. Also, please note that UNDP has the full right to contact the mentioned contacts details of each submitted project to ensure the accuracy of the submitted data and the client s/supervisor recommendation for that project. This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this format or layout ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Project Name: Location Within Country: Client Name Client Address: Project Specific Information Country: Key Staff Provided By Firm: No. of Staff Employed: No. Of Staff-Months: Start Date (m-y): End Date (m-y): Value of Project (in Current US$): Name of Supervisory / Project Manager (client): Contact Details of Supervisory / Project Manager (client): Name of Senior Staff (project director/coordinator, team leader) Involved in Functions Performed: Narrative Description Of Project (Not more than 150 words): Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted Volume III, Part 1: Submission Forms 15/23

16 1.3.4 ONGOING PROJECTS PROFILES Provide the profiles of the ongoing projects as per the following format. For each project please attach supporting documents such as copy of contract, certificate of final completion etc. Also, please note that UNDP has the full right to contact the mentioned contacts details of each submitted project to ensure the accuracy of the submitted data and the client s/supervisor recommendation for that project. This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this format or layout # Item Description Contractor's Input Remarks 1 Contract No. 2 Contract Name 3 Project Brief Description 4 Contract Value 5 Contract Duration 6 Commencement Date 7 Contractual Completion Date 8 Actual (Planned) Completion Date 9 Payments Received to Date 10 Progress Percentage to Date 11 Clients Contact Details 12 Supervision Entity Contact Details 13 Problems, Claims, Arbitration, etc. 14 Other Comments Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted Volume III, Part 1: Submission Forms 16/23

17 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq PROJECT ACTIVIRY (WORK) SCHEDULE The Bidder shall submit the anticipated Programme for the Works reflecting all activities of the project. Failure will lead to be disqualified This should be written in the Letterhead of the Bidder. Except for indicated fields, no changes may be made in this format or layout Note: The contract period is maximum 5 calendar months from date of Contract Award all activities shall reflect completion accordingly # Activity/Description Dates Duration from Contract Award (Calendar Months) Start Complete Volume III, Part 1: Submission Forms 17/23

18 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq # Activity/Description Dates Duration from Contract Award (Calendar Months) Start Complete Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. End of Section Volume III, Part 1: Submission Forms 18/23

19 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq CURRICULUM VITAE (CV) CURRICULUM VITAE Proposed Position as per the required staff for this project: Full Names & Date of Birth: (Day/Month/Year) Surname: Nationality: Gender: Language Skills: (For each language indicate proficiency: excellent, good, fair, or poor in speaking, reading, and writing) Educational and other Qualifications: (Indicate college/university and other specialized education of staff member, giving names of institutions, degrees obtained, and dates of obtainment) Trainings: (Indicate significant training since degrees under Education and were obtained) Summary of Experience: (Brief description of main tasks and achievements in the field of specialization) Employment Record (Starting with present position, list in reverse order every employment held by staff member since graduation, giving for each employment) Period: From (Year): To (Year): Employer: (Full names of company/organization and location) Positions Held: Name of Assignment or Project: Year: Location: Client: Main Project Features: Positions Held: Detailed Tasks Assigned: (List all tasks to performed under this assignment) Work Undertaken that Best Illustrates Capability to Handle the Tasks Assigned: (Among the assignments in which the staff has been involved, indicate the following information for those assignments that best illustrate staff capability to handle the tasks listed hereunder) Period: From (Year): Etc. Period: From (Year): Etc. To (Year): To (Year): Certification: I, the undersigned, certify that to the best of my knowledge and belief, this CV correctly describes me, my qualifications, and my experience. I understand that any willful misstatement described herein may lead to my disqualification or dismissal, if engaged. [Signature of staff member or authorized representative of the staff] Full name of authorized representative: Volume III, Part 1: Submission Forms 19/23 Date: Day/Month/Year Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted.

20 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq 1.4 SECTION 8: FORM FOR BID SECURITY (This must be finalized using the official letterhead of the Issuing Bank. Except for indicated fields, no changes may be made on this template) To: UNDP [Insert contact information as provided in Data Sheet] WHEREAS [name and address of Contractor] (hereinafter called the Bidder ) has submitted a Bid to UNDP dated Click here to enter a date., to deliver goods and execute related services for [indicate ITB title] (hereinafter called the Bid ): AND WHEREAS it has been stipulated by you that the Bidder shall furnish you with a Bank Guarantee by a recognized bank for the sum specified therein as security in the event that the Bidder: a) Fails to sign the Contract after UNDP has awarded it; b) Withdraws its Bid after the date of the opening of the Bid; c) Fails to comply with UNDP s variation of requirement, as per ITB Section F.3; or d) Fails to furnish Performance Security, insurances, or other documents that UNDP may require as a condition to rendering the contract effective. AND WHEREAS we have agreed to give the Bidder such this Bank Guarantee: NOW THEREFORE we hereby affirm that we are the Guarantor and responsible to you, on behalf of the Bidder, up to a total of [amount of guarantee] [in words and numbers], such sum being payable in the types and proportions of currencies in which the Price Bid is payable, and we undertake to pay you, upon your first written demand and without cavil or argument, any sum or sums within the limits of [amount of guarantee as aforesaid] without your needing to prove or to show grounds or reasons for your demand for the sum specified therein. This guarantee shall be valid 30 days from the date of the validity of the Proposal/Bid. SIGNATURE AND SEAL OF THE GUARANTOR BANK 1. Name of Bank: 2. Focal Person Name: 3. address: 4. Telephone number: 5. Bank address: 6. Date: End of Section Volume III, Part 1: Submission Forms 20/23

21 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq 1.5 CHECKLIST FOR BIDDERS The hereunder checklist will assist Bidders to verify the required documents that need to be submitted together with the Technical and Financial Proposal. No. Description of Documents Provided OR Not Applicable Page Number 1.0 Envelope No. 1 Technical Submission 1.1 Section 4 - Bid Submission Form (signed and stamped) Section 5 Documents Establishing Eligibility of the Bidder (signed and stamped) Section 5 - Partners or JV of Company Participating (signed and stamped) [if applicable]. Tax Registration/Payment Certificate issued by the Internal Revenue Authority evidencing that the Bidder is updated with its tax payment obligations, or Certificate of Tax exemption, if any such privilege is enjoyed by the Bidder. Certificate of Registration of the business, including Articles of Incorporation, or equivalent document if Bidder is not a corporation Financial soundness: Bidders shall provide documentary evidence; preferably in the form of latest available audited financial accounts proving that the total average annual turnover over each of the last three years exceeded the amount of U$ 5,000,000 with minimum amount of US$ 2,000,000 for each of these years Official Letter of Appointment as local representative, if the Bidder is submitting a bid on behalf of an entity located outside the country Latest Audited Financial Statements (Income Statement and Balance Sheet) Including Auditor s Report for the past three (3) Years (2014, 2015 & 2016) Declaration of NO Conflict of Interest Form signed and stamped [Technical Proposal & Submission Forms, Clause (Section 5)] Declaration of Litigation and Arbitration History Form signed and stamped [Technical Proposal & Submission Forms, Clause (Section 5)] All information regarding any past and current litigation during the last five (5) years, in which the bidder is involved, indicating the parties concerned, the subject of the litigation, the amounts involved, and the final resolution if already concluded. If applicable Declaration by Applicant Form signed and stamped [Technical Proposal & Submission Forms, Clause (Section 5)] 1.12 Section 6 Technical Bid Form (signed and stamped) 1.13 Section 6 - Schedule of Non-Compliance (signed and stamped) 1.14 Section 6 - Background Experience( signed and stamped) 1.15 Section 6 Manpower Schedule 1.16 Section 6 Plant and Equipment Schedule Volume III, Part 1: Submission Forms 21/23

22 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq 1.17 Section 6 - Project Activity (Work) Schedule (signed and stamped) Company Profile, which should not exceed fifteen (15) pages, including printed brochures and product catalogues relevant to the goods/services being procured Members of the Governing Board and their Designations duly certified by the Corporate Secretary, or its equivalent document if Bidder is not a corporation List of Shareholders and Other Entities Financially Interested in the Firm owning 5% or more of the stocks and other interests, or its equivalent if Bidder is not a corporation Statement of Satisfactory Performance from the Top Five Clients in terms of provision of similar services during the last 3 years (if available) Certificate of Registration of the business, including Articles of Incorporation, or equivalent document if Bidder is not a corporation Quality Certificate (e.g. ISO.etc..) and/ or other similar certificates, accreditations, awards or citations received by the Bidder, if any List of Bank References (Name of Bank, Location, Contact Person and Contact Details) Local Government permit to locate and operate in the current location of office or factory Confirmation of non-inclusion of the proposer in the in UN s Consolidated List of Individuals and Entities with Association to Terrorist Organizations, in the List of Vendors Suspended or Removed from the UN Secretariat Procurement Division Vendor Roster, the UN Ineligibility List and in the list of vendors sanctioned by UNDP 1.27 Duly signed CVs as per the attached form for two key staff members Duly signed CVs as per the attached form for required staff as per the schedule of requirements (volume II, part 1) Entity classification documents as per mentioned in ITB documents (volume I, section 2, annex I) 1.30 Provide Experiences Statement from responsible authorities (if applicable) 1.31 Provide Membership Certificate from responsible authorities (if applicable) 1.32 Ongoing Projects Profiles 1.33 This check list 1.34 Section 7 - Price Schedule/Financial Bid (signed and stamped). To be submitted separately from the Technical Submission 2.0 Other List Below: Volume III, Part 1: Submission Forms 22/23

23 ITB-214/17 Reconstruction and Rehabilitation of Fallujah Bridge in Anbar Governorate, Iraq Authorized Signature: [In full and initials] Date: [Day/Month/Year] Company Stamp Apart from providing additional information, no alterations to its format shall be permitted and no substitutions shall be accepted. END OF PART Volume III, Part 1: Submission Forms 23/23